结直肠肛门外科2017，Vol.23Issue(5)：591-594,4.
IMA分型、Riolan动脉弓是否缺失与直肠癌根治术后吻合口漏的关系研究
The relationship between IMA classification, absence of Riolan arterial arch and anastomotic leakage after radical resection of rectal cancer
石汶 1喻定刚1
作者信息
- 1. 阿坝藏族羌族自治州人民医院胃肠外科 四川阿坝 624000
- 折叠
摘要
Abstract
Objective To study the relationship between anastomotic leakage and inferior mesenteric artery (IMA) classification and absence of Riolan arterial arch after radical resection of rectal cancer.Methods We performed a retrospective analysis of 90 patients with rectal cancer who received radical resection in our hospital.Patients were divided into anastomotic leakage group and control group with no anastomotic leakage,according to the presence of postoperative anastomotic leakage.Clinical pathological parameters were compared between the two groups using Logistic multivariate analysis to investigate the risk factors for anastomotic leakage.Results Anastomotic leakage occurred in 8 out of 90 patients,6 of which occurred in IMA type Ⅲ (75％).All of the 6 patients had absence of Riolan arterial arch and high ligation.There were significant differences between the two groups in IMA type,IMA ligation sites and the absence of Riolan artery arch (P ＜ 0.05).Logistic multivariate regression analysis showed that IMA type Ⅲ and absence of Riolan arch were independent risk factors for anastomotic leakage after operation (P ＜ 0.05).Conclusion IMA type Ⅲ and absence of Riolan arch are the independent risk factors of anastomotic leakage after radical resection in patients with rectal carcinoma.IMA low ligation should be considered in these patients to reduce the risk of postoperative anastomotic leakage.关键词
直肠癌根治术/吻合口漏/肠系膜下动脉/Riolan动脉弓Key words
radical resection of rectal cancer/anastomotic leakage/inferior mesenteric artery/Riolan arterial arch分类
医药卫生引用本文复制引用
石汶,喻定刚..IMA分型、Riolan动脉弓是否缺失与直肠癌根治术后吻合口漏的关系研究[J].结直肠肛门外科,2017,23(5):591-594,4.
